Part B News Features
Grappling with HIPAA compliance is a time-consuming endeavor, and some priorities aren’t attaining the desired outcomes. Health care organizations are spending too much time proving they&rsquo... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
The trend in E/M office visit (99202-99215) reporting is perhaps best exemplified in the contrasting fall-and-rise of Level 3 and Level 5 established office visit codes: while total claims for 99213 w... More
Grappling with HIPAA compliance is a time-consuming endeavor, and some priorities aren’t attaining the desired outcomes. Health care organizations are spending too much time proving they&rsquo... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
The trend in E/M office visit (99202-99215) reporting is perhaps best exemplified in the contrasting fall-and-rise of Level 3 and Level 5 established office visit codes: while total claims for 99213 w... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
The trend in E/M office visit (99202-99215) reporting is perhaps best exemplified in the contrasting fall-and-rise of Level 3 and Level 5 established office visit codes: while total claims for 99213 were down 29% in a recent five-year stretch, those for 99215 increased by the same percentage.
Providers doubled their use of virtual check-ins after CPT code 98016 (Established patient brief communication technology-based service with 5-10 minutes of medical discussion) replaced HCPCS code G2012 on Jan. 1, 2025.
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